Optimal Body Brain, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

8803 Issued in TX

Legal business name

OPTIMAL BODY BRAIN, LLC

Practice address

12820 Hillcrest Rd
Dallas, TX 75230-1526

Phone

(214) 484-1313

NPI assigned

Nov 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pamela J. Bell, EDDNPI 1659488047

Title

Director

Phone

(214) 484-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Neurofeedback Center, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela J Bell, EDD

  • Professional Counselor
  • Dallas, TX
  • NPI 1659488047
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1851804785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "214-484-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "214-484-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL BODY BRAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-484-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "8803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659488047",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Neurofeedback Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optical Clinic
• Optim Health Services, Inc.
• Optima Equip LLC
• Optima Equip LLC
• Optima Health Resources LLC
• Optimal Cares Home Health LLC
• Optimal Cares LLC
• Optimal Compassion
• Optimal Home Health Inc
• Optimal PT

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.